Purchase/check Request

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PURCHASE/CHECK REQUEST
Journey Church
___ Check Request
10700 75
Street
th
Kenosha, WI 53142
___ Permission to Order ($250+)
Phone: 262.694.3300
___ Credit Card - Type__________________
Fax: 262.694.3312
PAY TO THE ORDER OF:
SEND CHECK TO:
ADDRESS:
ADDRESS:
CITY, STATE ZIP:
CITY, STATE ZIP:
DATE SUBMITTED
DATE REQUIRED
SUBMITTED BY
DEPARTMENT
QTY
DESCRIPTION
TOTAL
ACCOUNT #
TOTAL
Comments:
Authorized by
Date
1099 Needed ___ Yes ___ No
Approved by
Date
Will vendor be used again? ___ Yes ___ No
Purchases of $1,000+ require Co-Pastor Approval.
File Location: I:\Administration\Check Request Form

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